Individual
SANTIAGO ALEXANDER LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9525 QUEENS BLVD FRNT 5, REGO PARK, NY 11374-1995
(718) 575-9595
(718) 575-8456
Mailing address
303 MAIN ST APT 407, HEMPSTEAD, NY 11550-1449
(973) 856-4652
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
311183
NY
Other
Enumeration date
04/06/2016
Last updated
07/15/2024
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